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NHSO’s roles in universal health coverage (UHC) and further cooperation. Dr. Pongpisut Jongudomsuk Assistant Secretary General National Health Security Office (NHSO), Thailand Thailand-Pacific Island Forum 9 August 2014, Bangkok, Thailand. b. National Health Security Office - Thailand. - PowerPoint PPT Presentation
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NHSO’s roles in universal health coverage (UHC) and further cooperation
Dr. Pongpisut JongudomsukAssistant Secretary General
National Health Security Office (NHSO), Thailand
Thailand-Pacific Island Forum 9 August 2014, Bangkok, Thailand
b National Health Security Office - Thailand
National Health Security Office - Thailand
Infrastructure of NHSO
2
Headquarters office13 branch officesnationwide
Total staff 800
National Health Security Office - Thailand 3
Three public health insurance schemes in Thailand after achieving UHC
CSMBSCSMBS
ComptrollerComptroller
UCSUCS
NHSONHSO
SSSSSS
SSOSSO
Public/privatePublic/privateprovidersproviders
5 mil 48 mil 10 mil
General taxGeneral tax
BeneficiariesBeneficiaries
contribution
Informalemployees2001
Formalemployees1991
CivilServants1963
Health services
National Health Security Office - Thailand
Outputs:Increased access ambulatory and inpatient care
4
National Health Security Office - Thailand
Outcome: Reduction in out of pocket payment
42% 44% 44%50% 50% 50% 51% 50%
58% 57% 58% 56%64% 69% 69% 67% 67%
44% 43% 42%37% 35% 35% 34% 33%
27% 27% 26% 27%17% 14% 15% 15% 14%
0%
25%
50%
75%
100%19
94
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
Year
%
Public SHI Households Other private
UHC achieved
National Health Security Office - Thailand
UHC achieved
Outcome: Protection against health impoverishment
National Health Security Office - Thailand
Further collaboration
• Working collaboratively to achieve UHC by building capacity on– Health care financing and provider payment methods– Health service organization based on primary care– Quality accreditation– Governing structures– Health technology assessment– ICT systems for registration and service transactions
• CAP UHC (Capacity building on UHC)
7
National Health Security Office - Thailand 88
Thank you for your attention